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Individual

MRS. KIMBERLY LISA NICHOLSON-SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D

Contact information

Practice address
1201 EAGLE STREET JOLIET VA CLINIC, JOILET, IL 60432
(815) 740-8100
Mailing address
1201 EAGLE STREET JOLIET VA CLINIC, JOILET, IL 60432

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.001881
IL

Other

Enumeration date
04/28/2023
Last updated
04/28/2023
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